The short answer
- The two figures are not measuring the same thingA care home fee is board, lodging and care in one price. A home care rate is care only, so the house has to be added before the figures can be compared.
- Add about £68 a week for council tax and energy aloneThat is the average Band D bill with the single person discount, and the Ofgem cap for a typical household. Food, water, insurance and repairs come on top.
- Around 55 hours of visits matches a care home placeAt £20 an hour, once the household costs are taken off the fee. That is under a third of the hours in a week, and it covers no nights.
- Live-in care and a residential place land close togetherA typical live-in week with the household costs added is £1,188 against about £1,160 for a residential place. For a couple the gap is much wider.
Care prices are what families pay carers on PrimeCarers, with our fee included. Care home figures are typical weekly fees in England, quoted for comparison, and are not our prices. Household figures are national averages; your own bills will differ.
What each figure covers
What is inside a care home fee, and what is inside a home care figure
Open both figures up first, because the confusion comes from comparing a price that contains a house with a price that does not.
A care home place
£1,160
a week for a residential place, and about £1,410 for a nursing place. Homes in England commonly quote £1,100 to £1,600 and more.
Already inside the figure
- A room, heated and lit
- Every meal, and the shopping and cooking behind it
- Laundry and cleaning
- Staff on duty through the day and through the night
- The council tax, insurance and upkeep of the building itself
Charged on top of it
- Anything the home lists as an extra, which can include toiletries or being taken out to an appointment
- A third party top-up, where the council pays for the place and the family picks a home that costs more
- A fee rise, on whatever notice the contract gives
Not covered by it at all
- The running costs of the empty house, which do not all stop
- Time with family, which is visiting rather than living together
Care at home
£18 to £25
an hour for visits on PrimeCarers with our fee included, about £20 typically, or from £1,050 a week for a live-in carer. The figure buys the carer's time and nothing else.
Already inside the figure
- The carer’s time, for the hours or the week you book
- The care itself: washing, dressing, medication, meals cooked, company
- Our fee and the VAT on it, already inside the rate
- Insurance while the carer works, and checks kept current
Charged on top of it
- Council tax, energy, water, broadband, insurance and the TV licence
- The weekly shop, and a live-in carer’s food alongside it
- Repairs, and any adaptation the house needs
- Bank holidays at one and a half times the carer’s rate, and Christmas Day at double
- Travel, but only where you agreed the rate and the circumstances in advance and in writing
Not covered by it at all
- The hours between visits, which nobody is being paid to cover
- Cover when your carer is ill or takes leave, which you arrange yourself
A care home is registered to carry out one regulated activity, described in law as the provision of residential accommodation together with nursing or personal care. Accommodation and care are sold together because they are regulated together, which is why the fee arrives as a single weekly number.
Care at home is the opposite arrangement. You are buying somebody's time, by the hour or by the week, into a house that is already yours. Nothing about the room, the heating or the weekly shop changes, and none of it is in the rate. So the sum that matches a care home fee is the care plus the house. The cost of care by type prices the four ways care at home is sold.
The care home fee
What a care home charges for, and what it charges on top
A care home must give you certain information before you decide, and its contract before it offers you a place. Ask these while the home is still selling to you.
Ask the home each of these, and ask for the answers in writing
0 of 8 ticked
The fee itself
Nursing and health care
If the council is paying
What a home has to tell you, and what counts as an unfair term, are set out in Age UK's factsheet on finding, choosing and funding a care home. Ask early: two homes ten miles apart can quote within twenty pounds of each other and include quite different things. Homes in England commonly quote between £1,100 and £1,600 a week, and the figure this page uses for a residential place, about £1,160, sits in the middle. Choosing a care home covers what to look for on the visit, and the difference between a nursing home and a care home explains which one the assessment is pointing at.
What the house costs
What the house costs to run while somebody lives in it
This is the side families leave out, and it is why a home care figure looks cheaper than it is. Two of these costs have published national figures. The rest are real and vary too much to average.
£35
Council tax, for somebody living alone
The average Band D bill set in England for 2026 to 2027 is £2,392 a year, and living on your own takes 25% off it.
£33
Gas and electricity
Ofgem's cap for 1 October to 31 December 2026 works out at £1,723 a year for a typical household on both fuels paying by direct debit.
£68
Those two together, a week
The figure this page adds to every home care total, so that both sides describe the same week.
Not counted
Food, water, broadband, insurance, the TV licence, repairs
All real, none of them in a carer’s rate, and no national average worth quoting for one household.
Council tax: average Band D set by local authorities in England, 2026 to 2027, published by MHCLG. Energy: Ofgem price cap level, 1 October to 31 December 2026. Weekly figures are the annual ones divided by 52.
Both figures are published national ones: the average Band D council tax set by councils in England for 2026 to 2027 and the Ofgem price cap from October 2026. Somebody at home all day with the heating on uses more than the typical household the cap is measured against, so treat £33 a week as a floor rather than a forecast.
Three things can pull the council tax bill down, and none is applied automatically. Somebody living on their own gets 25% off their council tax. A live-in carer looking after somebody who is not their partner, spouse or child under 18 is disregarded when the council counts the adults in the house, so taking a live-in carer need not cost the single person discount. And where somebody has a certificate of severe mental impairment from their GP and qualifies for certain benefits, the discount can be 100% if they live on their own, 50% where everybody else in the house is disregarded, and 25% for the household where somebody lives with them. The costs people forget covers the rest of the household side.
The same week, both ways
One week of care, priced as a care home place and as care at home
Every home figure below includes £68 for council tax and energy, so it can be read against a care home fee with nothing missing. What each one buys is set out beside it.
- Two visits a day£34814 hours of visits at £20 an hour, plus the two household costs below. Nothing covers the rest of the day or the night.
- 35 hours of visits£768Three visits a day plus the weekly shopping and laundry, plus the household costs. Still no night cover.
- Residential care home£1,160One weekly fee covering the room, the meals, the heating, the laundry and staff at every hour.
- Live-in carer£1,188A typical live-in week plus the household costs. One carer in the house, awake through the day and asleep at night.
- Two visits plus nights£1,25814 hours of visits and seven sleeping nights, plus the household costs. Two carers are being paid.
- Nursing home£1,410A place with registered nurses on site. The NHS pays a nursing contribution to the home on top of this fee.
Care prices from PrimeCarers, September 2026, with our fee included. Care home figures are typical weekly fees in England. Home figures add £68 for council tax at the average Band D with the single person discount, and energy at the Ofgem cap.
Read the notes beside the bars first, because the amount of care in each week is not the same. Two one-hour visits a day is £348 a week all in, a long way below a care home place, and it leaves fourteen hours of the day and the whole of the night with nobody there. That suits somebody who manages between visits, and it is not a like-for-like alternative to a care home.
The two arrangements that do cover a whole week are live-in care and a care home place, and they land close together. A typical live-in week with the household costs added is £1,188 against about £1,160 for a residential place, so at the typical rate live-in care is the dearer of the two by a small margin. At the bottom of the live-in range it is £1,118, a little under the care home figure. Anybody who tells you one is clearly cheaper than the other for a single person is rounding something. Against a nursing home at about £1,410 the gap opens up, and whether live-in care is cheaper than a care home has a calculator that takes your own bills, pensions and savings.
For a couple the comparison changes decisively. One live-in carer looking after two people is about £1,350 a week, and with the full Band D average and energy the household total is £1,429. Two care home places at the residential average are £2,320, and the couple would be in two rooms rather than one house. Live-in care or residential care for couples goes through it properly.
How many hours match it
How many hours of visits come to the same money as a care home week
This is the question underneath the whole comparison, and it has an answer you can derive rather than take on trust. The figure moves with the rate your carer charges, so the working is below.
44 to 61 hours
of visits a week comes to the same weekly outgoing as an average residential care home place, depending on the rate. At £20 an hour it is about 55 hours, under a third of the 168 hours in a week, with no nights in it.
PrimeCarers rates, September 2026, fee included, against a typical residential care home fee in England.
The working. A residential place is about £1,160 a week. The household costs the fee already covers come to £68 at home, so the matching care budget is £1,160 less £68, or £1,092. Divide that by the carer's hourly rate and you have the hours.
| To match a residential place | To match a nursing place | To match a typical live-in week | |
|---|---|---|---|
| £18 an hour | 61 hours a week | 75 hours a week | 62 hours a week |
| £20 an hour | 55 hours a week | 67 hours a week | 56 hours a week |
| £25 an hour | 44 hours a week | 54 hours a week | 45 hours a week |
£18 an hour
- To match a residential place
- 61 hours a week
- To match a nursing place
- 75 hours a week
- To match a typical live-in week
- 62 hours a week
£20 an hour
- To match a residential place
- 55 hours a week
- To match a nursing place
- 67 hours a week
- To match a typical live-in week
- 56 hours a week
£25 an hour
- To match a residential place
- 44 hours a week
- To match a nursing place
- 54 hours a week
- To match a typical live-in week
- 45 hours a week
The care home columns take £68 a week off the fee first, because the fee already covers council tax and energy and a home care figure does not. The live-in column compares care with care, since a live-in carer moves into a house the person already pays for.
One figure needs handling carefully, because it appears across this site and is easy to misread. Pages about hours quote about 35 hours a week as the point to start looking at live-in care. That is a point about cover, not about price. 35 hours of visits is £630 to £875 a week depending on the rate, and a live-in week starts at £1,050, so the money has not crossed over at 35 hours and it is not close. What has happened by then is that three visits a day plus the weekly jobs has filled the diary while most of the day and all of the night stay uncovered. The point where live-in care becomes cheaper than hourly visits works through the arithmetic with different weekly patterns.
The summary, then. On price for a single person, visits are cheaper than a care home until the hours get high, live-in care and a residential place are within a few tens of pounds of each other, and a nursing home is dearer than both. On cover, 55 hours of visits and a care home place are not the same week. If you still need to settle the hours, how many visits a week does my parent need builds the week from the tasks.
What the money buys
What each arrangement gives you that the others cannot
Once the two figures are close, what you get for the week matters more than the total. Several of the rows below go the care home's way.
| A care home | Visits at home | A live-in carer | |
|---|---|---|---|
| Hours somebody is there | Staff on duty at every hour of the week, shared between all the residents. | Only the hours you book. The rest of the day and the whole night are uncovered. | One carer in the house for the week, awake through the day, asleep at night. |
| Nights | Night staff are on duty and included in the fee. | Not covered. A sleeping night is another £130 or more on top. | The carer sleeps in the house and gets up if they are needed. Somebody up most of the night needs a waking-night carer as well. |
| Cover when a carer is ill or on leave | The home covers it from its own staff. | You arrange it. A carer who is ill cannot send a substitute you have not chosen. | You arrange it, for the daily break and for the weeks your carer takes off. |
| Nursing | A nursing home has registered nurses on site. A residential home does not. | District nurses visit. A carer is not a nurse. | District nurses visit. Some carers take on delegated tasks where a nurse has trained them for that person. |
| Company | Other residents, shared meals and whatever the home runs during the week. | The person keeps their own home and their neighbours, and can be alone for long stretches. | One person in the house all week, which suits some people and not others. |
| If needs rise | The fee can be reassessed, and some homes cannot keep somebody whose needs move beyond what they are registered for. | Add hours, or move to nights as well. The bill rises with the hours. | A more experienced carer costs more, and complex care starts higher again. |
| The house | Left empty, sold, or let. It stops being where the person lives. | Stays theirs, and may need a stairlift, a wet room or a hospital bed. | Stays theirs, and needs a spare room the carer can sleep in. |
Hours somebody is there
- A care home
- Staff on duty at every hour of the week, shared between all the residents.
- Visits at home
- Only the hours you book. The rest of the day and the whole night are uncovered.
- A live-in carer
- One carer in the house for the week, awake through the day, asleep at night.
Nights
- A care home
- Night staff are on duty and included in the fee.
- Visits at home
- Not covered. A sleeping night is another £130 or more on top.
- A live-in carer
- The carer sleeps in the house and gets up if they are needed. Somebody up most of the night needs a waking-night carer as well.
Cover when a carer is ill or on leave
- A care home
- The home covers it from its own staff.
- Visits at home
- You arrange it. A carer who is ill cannot send a substitute you have not chosen.
- A live-in carer
- You arrange it, for the daily break and for the weeks your carer takes off.
Nursing
- A care home
- A nursing home has registered nurses on site. A residential home does not.
- Visits at home
- District nurses visit. A carer is not a nurse.
- A live-in carer
- District nurses visit. Some carers take on delegated tasks where a nurse has trained them for that person.
Company
- A care home
- Other residents, shared meals and whatever the home runs during the week.
- Visits at home
- The person keeps their own home and their neighbours, and can be alone for long stretches.
- A live-in carer
- One person in the house all week, which suits some people and not others.
If needs rise
- A care home
- The fee can be reassessed, and some homes cannot keep somebody whose needs move beyond what they are registered for.
- Visits at home
- Add hours, or move to nights as well. The bill rises with the hours.
- A live-in carer
- A more experienced carer costs more, and complex care starts higher again.
The house
- A care home
- Left empty, sold, or let. It stops being where the person lives.
- Visits at home
- Stays theirs, and may need a stairlift, a wet room or a hospital bed.
- A live-in carer
- Stays theirs, and needs a spare room the carer can sleep in.
None of these rows settles the question on its own. A care home buys cover at every hour and somebody else's problem when a member of staff is ill. Care at home buys familiarity and control, and leaves the gaps for you to fill.
The row families underestimate is cover. A care home carries the staffing risk: when somebody calls in sick at six in the morning, that is the home's problem and the rota still happens. At home it is yours. A live-in carer needs a daily break and takes leave across the year, and somebody has to be with your relative for those hours. Read what a live-in carer's daily break involves and what the alternatives to live-in care are before you plan a week that assumes nobody is ever ill.
The house cuts the other way. It is familiar, it holds the routine and the neighbours, and staying in it is what many people say they want. It may also need work that no care figure includes, such as a stairlift, a wet room or a downstairs bed. A council can help: a Disabled Facilities Grant in England is worth up to £30,000, and how much you get usually depends on household income and savings over £6,000. When home care stops being enough is the page to read if you are asking whether you are there.
How the money is assessed
The house, the income and the benefits are treated differently
The last part of a like-for-like comparison is not the price. It is what the council counts, because the same person with the same savings is assessed differently depending on where the care happens.
- 1
The house is counted for a care home, and disregarded at home
The biggest single differenceFor care at home the value of the home is disregarded if your relative still lives there. For a permanent care home placement it can be counted as capital, though it is disregarded for the first 12 weeks, and their share can be disregarded for longer where a partner or, in certain circumstances, a relative still lives there. A deferred payment agreement can postpone a sale. - 2
The savings limits are the same in both settings
£23,250 and £14,250In England the upper capital limit is £23,250, and above it your relative pays the full cost. Capital between £14,250 and £23,250 produces £1 a week of tariff income for every £250, and capital below £14,250 is left out. What counts as capital changes with the setting. - 3
What your relative is left to live on is very different
£31.80 against £241.45 a weekIn a care home the council must let your relative keep a Personal Expenses Allowance of at least £31.80 a week, because the fee already covers the room and the meals. For care at home the Minimum Income Guarantee in 2026/27 is £241.45 a week for a single person over State Pension age, because a house still has to be run. - 4
Check the benefits before you decide anything
Free to askAttendance Allowance is not means-tested and can be spent on a carer. Your relative can still claim it if they pay all their care home costs themselves, but usually not if a council pays for the place. In a nursing home the NHS pays a nursing contribution straight to the home, £267.68 a week from 1 April 2026. Where the main need is a health one, NHS Continuing Healthcare can fund the whole package in either setting.
Those figures come from Age UK on paying for care and support at home and paying for permanent residential care, the NHS on NHS-funded nursing care and when the council might pay, and gov.uk on claiming Attendance Allowance. They reset each April.
All of which is why a financial assessment is worth asking for even where your relative will plainly pay for their own care. The answer about the house alone can be worth more than any difference between the weekly figures here. Local authority funding explains the needs assessment and the financial assessment that follows, and NHS Continuing Healthcare explains who qualifies for a fully funded package.
Questions
Questions families ask when they are pricing both routes
For a few hours a day, yes, and by a long way. Two one-hour visits a day comes to £348 a week with council tax and energy included, against about £1,160 for a residential care home place. For cover round the clock the answer changes: a typical live-in week with the same household costs added is £1,188, slightly above a residential place and well below a nursing home at about £1,410. It depends on how many hours of care your relative needs.
A room with its heating and lighting, all meals, laundry and cleaning, staff on duty through the day and the night, and the council tax and upkeep of the building. In law a care home is registered to provide residential accommodation together with nursing or personal care, which is why board and care arrive as one price. What else is included varies between homes, so ask for the list of extras in writing before you accept a place.
Everything except the carer's time. Council tax, gas and electricity, water, the weekly shop, broadband, insurance, the TV licence and repairs all carry on. Council tax and energy alone come to about £68 a week for somebody living on their own at the average Band D bill and the Ofgem cap. A live-in carer eats with the household, so add them to the shop, and any adaptation the house needs sits outside the figure too.
Take the household costs off the fee first. A residential place at about £1,160 a week less £68 of council tax and energy leaves £1,092 of care budget, which buys 44 to 61 hours of visits a week depending on the rate, and about 55 hours at £20. That is under a third of the hours in a week and includes no nights, so it is the same money rather than the same amount of care.
No. 35 hours of visits is £630 to £875 a week depending on the carer's rate, and a live-in week starts at £1,050, so on visits alone the money has not crossed over. The 35 hour figure is about cover: by then three visits a day plus the weekly jobs has filled the diary and most of the day and all of the night are still uncovered.
Not always, and not immediately. For care at home the value of the home is disregarded while your parent lives there. For a permanent care home placement it can be counted as capital, but it is disregarded for the first 12 weeks, and your parent's share can be disregarded for longer where a partner or, in certain circumstances, a relative still lives there. A deferred payment agreement with the council can postpone a sale. Take advice before selling anything.
It depends who is paying. Your parent can still claim Attendance Allowance if they pay all their care home costs themselves, and usually cannot get it if the local authority pays for their care. At home the benefit is not affected by where the care comes from, though the council can count it as income in a financial assessment. It is not means-tested, so claim it before anything else is decided.

